Industry Update Prof TRENT TWOMEY National President ANTHONY TASSONE National Vice President Health Economics and Policy - Pharmacy Guild of Australia
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Industry Update
Prof TRENT TWOMEY National President
ANTHONY TASSONE National Vice President Health
Economics and Policy
Acknowledgement of Country
The Pharmacy Guild of Australia acknowledges traditional custodians of
country throughout Australia and recognises the continuing connection to
lands, waters and communities. We pay our respect to Aboriginal and
Torres Strait Islander cultures; and to Elders past, present and emerging.
1
Regions affected by floods
• Pharmacies having to relocate temporarily should
contact their Guild Branch
o Department of Health & Services Australia have
disaster management arrangements
• Patients evacuating may not have their medicines or
prescriptions
o May attend local pharmacies or in surrounding
regions
o Expanded Continued Dispensing in place until
30 June 2022
o State Emergency Supply provisions available for
S4 medicines
• If prescriber is contactable – Digital Image
Prescriptions or ePrescription options
2
Vaccine deliveries in flood
affected areas
• Deliveries are affected to flood areas in Queensland and New South Wales
• The Vaccine Operations Centre (VOC) is working with the QLD and NSW Health
Departments and the Delivery Partners to provide alternate means for COVID
vaccine deliveries
• Pharmacies will be contacted where their deliveries are impacted by floods
• Redelivery of vaccines and consumables will be organised when it is safe to do so,
and when it is suitable for the pharmacy
• Further information will be provided as the situation changes
3
COVID Treatments
Streamlined approval codes for
Molnupiravir (Lagrevrio ®)
Streamlined Authority Description
Code
12583 If immunocompromised, regardless of vaccination status
12582 75+ with one other risk factor for severe disease
12582 65+ with two other risk factors for severe disease
12584 Aboriginal or Torres Strait Islander who is 50+ with two
other risk factors for severe disease
5
PDE Codes
MSD will be contacting pharmacies to advise you can order
LAGEVRIO® from your preferred wholesaler with a ‘sale or return’
offer commencing 1 March 2022 and ending 31 March 2022
• You must purchase one pack of LAGEVRIO by 31 March to
receive the ‘sale or return’ offer from your wholesaler
• ‘Sale or return’ offer on your first pack order only when stock
expires end of January 2023
6
Covid-19 Rapid Test Concessional Access Program (CRTCA)
CRTCA Program Update
• Program is from 24 January to 30
April 2022
• As at today, 3 million patients
received 15.3 million RATS through
this program
• Over 5568 pharmacies involved
• Over $100 million paid to
pharmacy (across two payments)
8
Proposed payment schedule
Transaction Batch Period GuildLink to export ProjectCOVID transactions PPA to process payments*
and provide acceptable data file to PPA by: based on received
transactions by:
24/01/2022 to 30/01/2022 – Paid 15/02/2022
31/01/2022 to 13/02/2022 – Paid 23/02/2022
14/02/2022 to 27/02/2022 Monday 7 March 2022 Sunday 13 March 2022
28/02/2022 to 13/03/2022 Monday 21 March 2022 Sunday 27 March 2022
14/03/2022 to 27/03/2022 Monday 4 April 2022 Sunday 10 April 2022
28/03/2022 to 10/04/2022 Monday 18 April 2022 Sunday 24 April 2022
11/04/2022 to 24/04/2022 Monday 2 May 2022 Sunday 8 May 2022
25/04/2022 to 30/04/2022 Monday 16 May 2022 Sunday 22 May 2022
9Residential Aged Care Facilities (RACFs)
• RACFs have access to testing
under State and Territory
arrangements.
• RACF resident (or their carer/family)
who holds eligible concession card
can present to a participating
pharmacy for RATs under this
program.
RACF representatives cannot collect RATs
on-behalf of residents.
10COVID-19 Vaccine Rollout UPDATE
12
Today:
6,021,000 vaccines in pharmacy
ASTRAZENECA PFIZER 12+ NOVAVAX
1,240,000 1,380,000 15,300
MODERNA PFIZER 5 - 11 MODERNA 6-11
3,250,000 135,700 0
Number of pharmacies administering by state
Vaccine ACT NSW NT QLD SA TAS VIC WA TOTAL
AstraZeneca 65 1151 19 760 283 97 715 455 3545
Moderna 65 1123 17 742 280 94 708 448 3477
Pfizer 53 869 10 476 214 61 509 353 2545
Pfizer 5 - 11 40 648 7 369 162 - 426 255 1907
Novovax 13 294 2 236 104 26 182 263 1120COVID Vaccines
5-11 years 12-17 years 18 years + Booster
If mRNA vaccine
AstraZeneca contraindicated from 18
yrs or if patient declines
mRNA as booster
From 6-11 years From 18 years
Moderna*
Pfizer 12+ From 16 years
(Purple)
Pfizer 5-11 yrs
(Orange)
If no other COVID
Novavax vaccine suitable – from
18 yrsPharmacist Training
Pharmacist immunisers must undertake
Commonwealth COVID-19 training
https://covid19vaccinationtraining.org.au
AstraZeneca vaccine
Moderna vaccine
4. Multi-dose vial training and
1. COVID-19: an introduction
delivery Pfizer vaccine
2. Handling and storage 5. Documentation and reporting
Pfizer vaccine (5-11 yrs)
6. Safety surveillance and
3. Communication and purpose reporting of adverse events
Novavax
following immunisation (AEFI
Moderna (6-11 yrs) subset
module to the Moderna moduleModerna 6 – 11 booking portals
Vaccine Clinic Finder
• From Monday 7 March, the Vaccine Clinic Finder will display two Moderna
vaccine services based on age cohort – one for Moderna 6-11 and the other for
Moderna 12+ cohort
• If you plan not to administer the Moderna vaccine to the 6-11 cohort, contact
PPA Support Centre to be removed from the VCF listing for this service
Findapharmacy
• Update the services you offer via the myGuild portal. Instructions are on
guild.org.au
16Affordable Medicines
Now Campaign
17Affordability an issue for Australians
Studies have identified affordability of prescription
medicines is an issue:
• Research by the Australian Patients Association
found that more than 1 in 5 people aged 18-64
describe prescription medication as unaffordable.
• The ABS has found that 900,000 Australians
delayed or didn’t get a script filled in 2019-20 due
to cost.
18Co-payments keep rising
PBS Co-pays 1960 to 2022 (2022
• The PBS is becoming split dollars)
between the ‘haves’ and ‘have- $50.00
nots’ $45.00 $42.50
$40.00
• The co-payment for people not $35.00
$30.00
eligible for concessional status $25.00
keeps rising $20.00
$15.00
$10.00
• There are 19 million people $5.00
$6.80
who now have to pay up to $0.00
Jan-80
Jan-04
Jan-60
Jan-64
Jan-68
Jan-72
Jan-76
Jan-84
Jan-88
Jan-92
Jan-96
Jan-00
Jan-08
Jan-12
Jan-16
Jan-20
$42.50 for a PBS prescription
General Concessional
19Risks
• Not taking up scripts
due to cost results in
medication non-
adherence which
creates pressure on
hospitals and other
parts of the system
20Community opinion research
Flynn
Bowman
Cowan
Boothby Lindsay
Swan Dobell
Macquarie Robertson
Reid
Gilmore
▪ Qualitative:
▪ 6 x voter focus groups around Australia - December Kooyong
Corangamite
▪ Quantitative: Bass
▪ In 15 marginal Federal electorates
▪ 15-minute survey of n=2021 voters Braddon
▪ Fielded January 6 – 16 2022
▪ Margin of error on the total sample is +/-2.83% 21People hardest hit include females
35-54 and middle income earners
Non-Concession Card Holders: Most Difficult to Afford - % Yes by Subgroups
Total 22%
Female 35-54 years 32%
$60k-99,999k Household Income p.a. 31%
Casually employed 30%
18-24 years 29%
< $60k Household Income p.a. 28%
Home duties 27%
Female 18-34 years 27%
Female 26%
Soft Voters 26%
45-54 years 26%
18-34 years 25%
35-54 years 24%
Children at Home 24%
In the past 3 years, have you and your family ever found it difficult to afford to pay for your prescribed medications? 22
^Small Sample SizeSo what now?
• Community pharmacies are
raising the alarm
• Raise awareness in target
audience of the recent increase to
the cost of prescription medicines.
• Drive direct community action to
voice concerns to government
• Commenced virtual roadshows
this week in 15 electorates with
members having the opportunity
to hear from subject matter
experts and have a two-way
conversation
23Campaign messaging • The maximum cost of PBS medication for non-concession card holders has doubled since 2000. • On January 1 the cost rose again to $42.50. • This affects over 19 million Australians, and as the cost of living continues to increase, many are being faced with a choice between vital medications and other essentials. • Community pharmacies across Australia have seen first-hand the impact of unaffordable medicines for their patients. We have assisted our communities through a global pandemic and understand their health concerns intimately. • At the current rate of increase, these Australians will find themselves paying nearly $50 a script for some PBS medicines within the next five years. • This means there is no real universal access to the PBS which is the foundation of our health system.
What next? We need your help.
Mr Davis said it was “absolutely” rough that the PBS co-
payment kept going up, and said he believed glucose
monitoring devices and medications for diabetics should
either cost significantly less or be free.
“The thing that gets me upset and grinds my gears is
people can get free rapid antigen tests but there’s a
medication I need to take to stay alive and have to pay for
it,” he said.
“It’s a bit of a kick in the guts.”
Putting a patient’s face on the problem brings the issue powerfully to life in the media.
Do you know anyone who would tell their story?
EMAIL: campaigns@guild.org.auOther Updates
26PPE: Distribution Update
• PPE bundles are free to immunising
pharmacists – as made available from the
National Medical Stockpile.
• PPE deliveries will be made directly to
pharmacies, removing the requirement for
PHNs to be an intermediatory distributor.
• Improved ordering system with tracking number
• Transition phase over the next four weeks while
PHNs run down current PPE stock levels
• PPE Fact Sheet on completing the new
pharmacy PPE order through their PHN
available
https://www.health.gov.au/resources/publications/c
oronavirus-covid-19-completing-new-ppe-order-
form-pharmacyDigital enablement for government
services (13 March deadline)
TO ENSURE YOUR PHARMACY MAINTAINS ACCESS TO THE FOLLOWING KEY SERVICES:
PBS Online
Check with your dispense vendor that your pharmacy’s PBS PKI site
certificate has been renewed or will be renewed before 13 March.
Electronic prescriptions and
Check with your dispense vendor that your pharmacy will still have access to and be able to dispense
IHI Service (My Health Record) electronic prescriptions using the Prescription Delivery Service (eRx and/or MediSecure)
Or you can initiate the renewal of your certificate with Services Australia (HPOS) if you have the
information you need from your dispense vendor – visit www.digitalhealth.gov.au for guidance.
AIR Real-Time integration
If your pharmacy is not set up with Real-Time AIR integration, by 13 March any vaccination services
performed at your pharmacy need to be manually submitted via HPOS.
STEP 1: Complete and submit your HW027 Form as soon as possible using the Guild’s Form Guide.
282021 Flu Vax program
• 147 corporate clients
• 22,168 services
• 982 registered pharmacies
• Approx. $500,000 income for pharmacies
29• Didn’t participate last year?
Time to register
• Scan the QR code to complete the
Guild Corporate Flu Vax Registration
Form
• All participating members with current
Guildcare subscription will gain access
to the module from 11 March
30• To compile a comprehensive outline on the workforce's
capability, capacity and employability needs within and for
pharmacy
• Anticipated the project will assist in effective advocacy and
strategic decision making relating to primary healthcare
within pharmacy, including supply & demand modelling,
remuneration, career pathways, qualifications, training
needs, employment classifications and pharmacy 'scope of
practice'
• The project team will be at APP2022 and would love to
hear from you. Come and visit them on the Guild stand or
look out for the ‘Workforce Capability Project’ QR codes to
provide your insights
31Remember we are here for you! Call 13 GUILD OR covid-19@guild.org.au
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